Revenue Cycle Specialist

MDB Health Services; Flowood (MS); On-site; USD 45,000 - 55,000; Full time

Job summary

MDB Health Services seeks an experienced Medical Billing Specialist for our Flowood, Mississippi headquarters to support billing across multiple locations. This on-site role involves core revenue-cycle functions including claims filing, data entry, denial management, payment posting, and billing-record review for Medicare Part A and Part B claims.

Required qualifications include a high school diploma or GED and at least two years of medical claims billing experience, with proficiency in

Qualifications

• High school diploma or GED
• At least two years of medical claims billing experience
• Experience submitting claims and processing client invoice billing
• Ability to abstract clinical information from medical records, charts, and other documents
• Ability to assign ICD-10 and CPT/HCPCS codes according to established procedures
• Knowledge of Medicare, Medicaid and other payer billing guidelines
• Knowledge of payer updates, bundling and unbundling, medical necessity, coding requirements, and medical terminology
• Proficiency with Word, Excel, and EMR/EHR systems

Responsibilities

• Perform core revenue-cycle functions, including billing, claims filing, data entry, charge entry, insurance follow-up, denial management, payment posting, billing-record review, and customer service
• Bill and submit Rural Health Clinic claims to insurance carriers daily
• Research, correct, resubmit, and appeal front-end claim edits, clearinghouse returns, rejected or denied claims, and claims receiving no response
• Review accounts receivable and prioritize follow-up based on aging, payer requirements, and reimbursement opportunity
• Reconcile explanations of benefits and post payments, with the goal of ending each day at a zero balance
• Maintain accurate patient, provider, practice, fee, and charge information in the billing system
• Meet with the Billing Team Supervisor to identify and resolve reimbursement issues and billing obstacles
• Perform other duties as assigned

Job description

MDB Health Services provides medical and psychiatric services to residents in long-term care facilities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. As the region’s largest LTC healthcare provider, we are proud to have an exceptional team of physicians, nurse practitioners, and therapists dedicated to delivering high-quality, compassionate care. For more than 13 years, we have built a strong reputation among both clinicians and long-term care communities by going above and beyond to help facilities provide the best possible healthcare to their residents while remaining people-first in everything we do.

MDB Health Services is hiring an experienced Medical Billing Specialist to join the billing team at our headquarters in Flowood, Mississippi. This is an on-site position supporting billing for multiple locations, including Medicare Part A and Part B billing.

Responsibilities

• Perform core revenue-cycle functions, including billing, claims filing, data entry, charge entry, insurance follow-up, denial management, payment posting, billing-record review, and customer service
• Bill and submit Rural Health Clinic claims to insurance carriers daily
• Research, correct, resubmit, and appeal front-end claim edits, clearinghouse returns, rejected or denied claims, and claims receiving no response
• Review accounts receivable and prioritize follow-up based on aging, payer requirements, and reimbursement opportunity
• Reconcile explanations of benefits and post payments, with the goal of ending each day at a zero balance
• Maintain accurate patient, provider, practice, fee, and charge information in the billing system
• Meet with the Billing Team Supervisor to identify and resolve reimbursement issues and billing obstacles
• Perform other duties as assigned

Required qualifications

• High school diploma or GED
• At least two years of medical claims billing experience
• Experience submitting claims and processing client invoice billing
• Ability to abstract clinical information from medical records, charts, and other documents
• Ability to assign appropriate ICD-10 and CPT/HCPCS codes according to established procedures
• Knowledge of insurance billing guidelines, including Medicare, Medicaid, and other payers
• Knowledge of payer updates, bundling and unbundling, medical necessity, coding requirements, and medical terminology
• Proficiency with general computer applications, Microsoft Word and Excel, and EMR or EHR systems

Preferred qualifications

• Associate degree or higher
• One or more relevant credentials, including CCS, CCSP, CPC, CPC-P, RHIA, COC, or CPCH
• Location: Flowood, Mississippi
• Work arrangement: On-site

The pay range for this role is:

45,000 - 55,000 USD per year (MDB Health Services)